Individual provider Active NPI

Obi Agborbesong, MD

  • Surgery Physician
  • Beckley, WV
National Provider Identifier
1306251459
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3316 Issued in WV
Practice address
250 Stanaford Rd
Beckley, WV 25801-3140
Phone
(304) 254-2660
NPI assigned
Jun 27, 2014
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 94-08411 KS
Surgery Physician 208600000X 3316 WV Primary

Addresses

Primary practice location

250 Stanaford Rd
Beckley, WV 25801-3140

Mailing address

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NH, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230905001515 WV Practitioner - General Surgery 1355567009 Reassigns benefits to 2 organizations
I20250821002657 NH Practitioner - General Surgery 1355567009 Reassigns benefits to 2 organizations
I20260423000201 MI Practitioner - General Surgery 1355567009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Androscoggin Valley Hospital IncGroup PAC ID 2365350725, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

212 S Sullivan Ave
Corewell Health Gerber Hospital
Fremont, MI 49412-1548
Phone (231) 924-1212

59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Valley Hospital, Inc. CurrentSince Aug 14, 2025 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Aug 14, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 8, 2023 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Jan 1, 2026 Accepting new patients
Androscoggin Valley Hospital Inc Surgery CurrentSince Aug 14, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 8, 2023 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients

Locations

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004

250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1306251459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-254-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBORBESONG",
        "first_name": "OBI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "94-08411",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "3316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.